Longitudinal trends in cardiovascular mortality and blood pressure levels, prevalence, awareness, treatment, and control of hypertension in the Czech population from 1985 to 2007/2008

Cífková, Renata; S̆kodová, Z; Bruthans, Jan; Holub, Jiří; Adámková, Věra; Jozífová, Marie; Galovcová, Markéta; Wohlfahrt, Peter; Krajčoviechová, Alena; Petrzílková, Z; Lánská, Věra

doi:10.1097/hjh.0b013e32833d4451

Cited by 76 publications

(63 citation statements)

References 23 publications

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“…Numerous randomized clinical trials in hypertensive adults have provided evidence that antihypertensive treatment reduces the risk of death and major CV events such as stroke, myocardial infarction, heart failure and renal failure and improves life expectancy (166)(167)(168)(169)(170).…”

Section: General Overviewmentioning

confidence: 99%

2016 European Society of Hypertension guidelines for the management of high blood pressure in children and adolescents

Lurbe

Agabiti‐Rosei

Cruickshank

et al. 2016

Journal of Hypertension

1,089

1,063

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Section: General Overviewmentioning

confidence: 99%

2016 European Society of Hypertension guidelines for the management of high blood pressure in children and adolescents

Lurbe

Agabiti‐Rosei

Cruickshank

et al. 2016

Journal of Hypertension

1,089

1,063

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show abstract

“…Similar trends have been reported from many western European countries. [13][14][15][16] On the other hand, studies from South Asia have reported escalating trends in hypertension and low levels of treatment and control. 17 Only a few studies in India have evaluated hypertension awareness, treatment and control [18][19][20][21][22][23][24][25][26][27][28][29] and none was performed on a national basis.…”

Section: Introductionmentioning

confidence: 99%

High prevalence and low awareness, treatment and control of hypertension in Asian Indian women

et al. 2011

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Hypertension is an important public health problem in India. To determine its prevalence, awareness, treatment and control among women, we performed a nationwide study. Population-based studies among women aged 35-70 years were performed in four urban and five rural locations. Stratified sampling was performed and we enrolled 4608 (rural 2604 and urban 2004) of the targeted 8000 (57%). Demographic details, medical history, diet, physical activity, anthropometry and blood pressure (BP) were recorded. Descriptive statistics are reported. Logistic regression was performed to determine the association of hypertension and its awareness, treatment and control with socioeconomic factors. Age-adjusted prevalence of hypertension (known or BPX140/X90 mm Hg) was observed in 1672 women (39.2%) (rural 746, 31.5%; urban 926, 48.2%). Significant determinants of hypertension were urban location, greater literacy, high dietary fat, low fibre intake, obesity and truncal obesity (Po0.01). Hypertension awareness was noted in 727 women (42.8%), more in urban (529, 56.8%) than in rural (198, 24.6%). Of these, 38.6% of the women were on treatment (urban 35.7, rural 46.5) and of those treated, controlled blood pressure (o140 and o90 mm Hg) was observed in 21.5% (urban 28.3 vs 10.2). Among hypertensive subjects, treatment was noted in 18.3% (rural 13.1, urban 22.5) and control in 3.9% (rural 1.3, urban 5.9). A significant determinant of low awareness, treatment and control was rural location (multivariate-adjusted Po0.05). There is a high prevalence of hypertension in middle-aged Asian Indian women. Very low awareness, treatment and control status are observed.

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“…It is estimated that approximately 25% of the US population aged 18+ suffers from the metabolic syndrome, while hypertension and diabetes mellitus affect approximately 40% and 8% of the population, respectively 1 . The treatment of metabolic syndrome is thus a great challenge in the primary prevention of ischemic heart disease (IHD).…”

Section: Introductionmentioning

confidence: 99%

Anti-hypertensive strategies in patients with MEtabolic parameters, DIabetes mellitus and/or NephropAthy (the M E D I N A study)

Špinar¹,

Vítovec²,

Souček³

2014

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Aims. The primary questions asked by the MEDINA (MEtabolic parameters, DIabetes mellitus and NephropAthy) study are: 1) Do angiotensin converting enzyme inhibitors (ACE-I) have any advantages over angiotensin receptor blockers (ARB)? 2) Should the other drug for combination be a diuretic or a calcium-channel blocker (CCB)? 3) How are the risks reduced by the co administration of a statin? Methods. A total of 439 hypertensive patients with metabolic syndrome and/or diabetes mellitus were randomized to 2 groups: group 1 -ramipril (ACE-I) or perindopril and group 2 -losartan (ARB). Hydrochlorothiazide (diuretic) or amlodipine (CCB) were added to both groups. As a third step, a statin was added.Results. Blood pressure decreased 24.1/13.3 mmHg in the ACE inhibitor group and 25.9/13.5 in the losartan group. The difference was insignificant. Adding either hydrochlorothiazide or amlodipin was equally effective. There were no significant differences on metabolic parameters in the trial arms. Cholesterol level decreased by 0.95 mmol/L in the ACE-I group and 1.02 mmol/L in the ARB group (ns). Conclusion. MEDINA has so far confirmed the equivalence of ACE-I and ARB in hypertension treatment. Adding either diuretic or CCB was equally effective. Our data support the current recommendations on adding a statin to reduce cardiovascular risk.

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Longitudinal trends in cardiovascular mortality and blood pressure levels, prevalence, awareness, treatment, and control of hypertension in the Czech population from 1985 to 2007/2008

Abstract: The reduction in population blood pressure and improved hypertension control may have contributed substantially to the decrease in cardiovascular disease mortality in the Czech Republic.

Cited by 76 publications

References 23 publications

2016 European Society of Hypertension guidelines for the management of high blood pressure in children and adolescents

2016 European Society of Hypertension guidelines for the management of high blood pressure in children and adolescents

High prevalence and low awareness, treatment and control of hypertension in Asian Indian women

Anti-hypertensive strategies in patients with MEtabolic parameters, DIabetes mellitus and/or NephropAthy (the M E D I N A study)

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